The nurse is caring for a client newly diagnosed with hypertension. Which statement by the client indicates the need for further teaching?
"If I take my blood pressure and it is normal, I don't have to take my blood pressure pills."
"When getting up from bed, I will sit for a short period before standing up."
"I will consult a dietician to help get my weight under control."
"I think I'm going to sign up for a yoga class twice a week to help reduce my stress."
The Correct Answer is A
A. "If I take my blood pressure and it is normal, I don't have to take my blood pressure pills": This statement reflects a misunderstanding of hypertension management. Blood pressure medications are typically prescribed to help control blood pressure over the long term, regardless of individual blood pressure readings. Stopping medication without consulting a healthcare provider can be dangerous and is not recommended.
B. "When getting up from bed, I will sit for a short period before standing up": This statement demonstrates an understanding of orthostatic hypotension prevention, which is important for clients with hypertension and can be a side effect of certain medications.
C. "I will consult a dietician to help get my weight under control": This statement indicates the client's awareness of the importance of weight management in hypertension control and is a positive step toward healthy lifestyle changes.
D. "I think I'm going to sign up for a yoga class twice a week to help reduce my stress": This statement shows the client's proactive approach to stress reduction, which is beneficial for hypertension management as stress can contribute to elevated blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The nurse stays with the client for 15 minutes after beginning the transfusion:
This action is appropriate as it ensures the nurse monitors the client closely for any immediate adverse reactions during the initial phase of the transfusion.
B. The nurse primes the blood tubing with lactated Ringer's solution:
This action is incorrect and potentially dangerous. Blood tubing should be primed with normal saline (0.9% sodium chloride) solution, not lactated Ringer's solution, to prevent potential adverse reactions or hemolysis of the blood products.
C. The nurse starts the infusion at a slow rate for the first 15 minutes:
This action is appropriate as it allows for the initial assessment of the client's tolerance to the transfusion and reduces the risk of adverse reactions.
D. The nurse witnesses the client sign the consent form for the blood transfusion:
This action is appropriate and ensures that the client has provided informed consent for the procedure.
Correct Answer is ["1"]
Explanation
If the nurse needs to administer vancomycin 500 mg PO daily divided into four equal doses, and the available capsules are vancomycin 125 mg each, the nurse would administer:
500 mg total daily dose ÷ 4 doses = 125 mg per dose
Since each capsule contains 125 mg of vancomycin, the nurse would administer 1 capsule with each dose.
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